Health Insurance in Pennsylvania | OnlineHealthIns.com

Pennsylvania Health Insurance Guide

Pennsylvania runs its own marketplace, Pennie, and has expanded Medicaid to cover more low-income residents.

Marketplace Type	State-Based Marketplace
Medicaid Expanded	Yes
Department of Insurance	Pennsylvania Insurance Department
Open Enrollment	As a State-Based Marketplace, the state sets its own open enrollment window and can extend it beyond the federal dates, so residents should confirm exact deadlines on the state exchange site each year.

Marketplace Type

State-Based Marketplace

Medicaid Expanded

Yes

Department of Insurance

Pennsylvania Insurance Department

Open Enrollment

As a State-Based Marketplace, the state sets its own open enrollment window and can extend it beyond the federal dates, so residents should confirm exact deadlines on the state exchange site each year.

Pennsylvania operates its own state-based marketplace, Pennie, rather than using HealthCare.gov. Residents shop for plans and apply for subsidies directly through the state exchange.

Pennsylvania expanded Medicaid under the ACA, so adults earning up to 138% of the federal poverty level generally qualify for Medical Assistance, the state's Medicaid program, instead of needing a subsidized marketplace plan.

Pennie has generally offered a wide range of plan choices across Pennsylvania's counties, and the state has highlighted lower average premiums in some years compared to when the state used the federal platform. Shoppers should still compare plans across the Philadelphia and Pittsburgh metro areas versus the state's more rural central counties, since insurer participation can differ by region.

OnlineHealthIns.com provides general educational information and is not a substitute for professional insurance, financial, legal, or medical advice. Availability, pricing, eligibility, and benefits vary by location and provider. We do not sell insurance and are not a licensed insurance agency.

Pennsylvania Health Insurance FAQ

What is Pennsylvania's health insurance marketplace called?

Pennie, the state's own exchange.

Has Pennsylvania expanded Medicaid?

Yes. Pennsylvania expanded Medicaid, called Medical Assistance, covering adults up to 138% of the federal poverty level.